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Get Ca Sebastopol Physical Therapy Wellness Clinic Revitalize Client Intake Form 2019-2024

Date of Birth Primary Physician Emergency Contact Name Phone Laser Therapy is an FDA cleared modality for the treatment of pain and inflammation and the temporary increase of microcirculation. Increased microcirculation can provide relief for many acute and chronic conditions. This form is a tool to help your clinician determine if you are a candidate for laser the.

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